Individual
LAUREN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(843) 290-1302
Mailing address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4505
SC
Other
Enumeration date
07/16/2009
Last updated
04/30/2013
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